Individual
JONELL PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16641 SCHOOL RD, INDEPENDENCE, LA 70443-2027
(504) 875-7807
Mailing address
16641 SCHOOL RD, INDEPENDENCE, LA 70443-2027
(504) 875-7807
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XHB716497993
—
LA
Enumeration date
10/13/2021
Last updated
07/25/2022
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